What question did this study set out to answer?

To report a case of acute coronary vasospasm triggered by methylergometrine in a postpartum patient.

February 26, 2026BMJ Case Reports

Methylergometrine-induced acute coronary vasospasm in a postpartum patient following caesarean delivery of DCDA twins

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Authors

SNSreekumaran NairJawaharlal Institute of Post Graduate Medical Education and Research DBDivyashree BhatManipal Academy of Higher Education SHShripad Hebbar

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Implication

Case report reveals acute coronary vasospasm post caesarean delivery in a woman with twin pregnancy, indicating need for careful monitoring after uterotonics.

Key Points

To report a case of acute coronary vasospasm triggered by methylergometrine in a postpartum patient.
Case report of a postpartum woman with twin pregnancy following elective caesarean delivery.
Administered intramuscular methylergometrine for postpartum bleeding.
Monitored cardiac function with ECG, cardiac enzymes, and echocardiography.
Immediate chest pain and breathlessness after methylergometrine administration.
ECG showed diffuse ST-segment depression and elevated cardiac enzymes.
Coronary angiography revealed normal arteries, indicating coronary vasospasm.

Cite This Study

Nair et al. (2026) studied this question.

synapsesocial.com/papers/699f95571bc9fecf3dab3016 https://doi.org/10.1136/bcr-2025-269247

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Implication

Case report reveals acute coronary vasospasm post caesarean delivery in a woman with twin pregnancy, indicating need for careful monitoring after uterotonics.

Methylergometrine-induced acute coronary vasospasm in a postpartum patient following caesarean delivery of DCDA twins

Discussion

Member takes

Implication

Key Points

Cite This Study

Methylergometrine-induced acute coronary vasospasm in a postpartum patient following caesarean delivery of DCDA twins

Discussion

Member takes

Implication

Key Points

Cite This Study

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